Emerging structural models for governance of public hospitals
International Journal of Health Governance
ISSN: 2059-4631
Article publication date: 27 June 2019
Issue publication date: 12 July 2019
Abstract
Purpose
The purpose of this paper is to present the contemporary understanding and emerging structural models of organisational governance of public hospitals in order to provide evidence-based guidance to countries that are reforming their public hospital governance structures in line with best practice.
Design/methodology/approach
The paper uses the structural dimension of Cooper, Fusarelli and Randall’s policy model and institutional theory to review the legislative frameworks of four model countries supported by extant literature.
Findings
The paper conceptually distinguishes health system governance and organisational governance in the health system. It further visualises the emerging alternative legislative models of organisational governance and a hierarchy of governors applicable to public hospitals.
Originality/value
The paper provides critical knowledge for understanding organisational governance within health system governance framework and develops tools that can be used in reforming institutional mechanism of organisational governance of public hospitals.
Keywords
Citation
Lipunga, A.M., Tchereni, B.M.H. and Bakuwa, R.C. (2019), "Emerging structural models for governance of public hospitals", International Journal of Health Governance, Vol. 24 No. 2, pp. 98-116. https://doi.org/10.1108/IJHG-03-2019-0018
Publisher
:Emerald Publishing Limited
Copyright © 2019, Emerald Publishing Limited